Provider Demographics
NPI: | 1467097022 |
---|---|
Name: | VALLEY VIEW HOSPITAL ASSOCIATION |
Entity Type: | Organization |
Organization Name: | VALLEY VIEW HOSPITAL ASSOCIATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHARLES |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CREVLING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 970-384-6606 |
Mailing Address - Street 1: | 1906 BLAKE AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | GLENWOOD SPRINGS |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 81601-4227 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 970-384-7140 |
Mailing Address - Fax: | 970-384-8119 |
Practice Address - Street 1: | 401 CASTLE CREEK RD |
Practice Address - Street 2: | |
Practice Address - City: | ASPEN |
Practice Address - State: | CO |
Practice Address - Zip Code: | 81611-1159 |
Practice Address - Country: | US |
Practice Address - Phone: | 970-384-7140 |
Practice Address - Fax: | 970-384-8119 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | VALLEY VIEW HOSPITAL ASSOCIATION |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2019-11-07 |
Last Update Date: | 2019-11-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Single Specialty |